Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,089.46 / $9,674.00 / $20,509.00	Facility		$3,089.46	$9,674.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,662.00 / $13,255.00 / $35,774.62	Facility		$4,662.00	$13,255.00	$35,774.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.61 / $1,508.57 / $1,914.93	Professional		$1,276.61	$1,508.57	$1,914.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,357.71 / $1,747.79 / $3,218.36	Professional		$1,357.71	$1,747.79	$3,218.36
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,226.42 / $18,796.03	Facility		$55.00	$15,226.42	$18,796.03
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,812.49 / $4,223.56 / $4,342.96	Facility	62	$1,812.49	$4,223.56	$4,342.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $290.00 / $675.77 / $694.87	Facility	AS	$290.00	$675.77	$694.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,421.62 / $1,794.31 / $2,429.48	Facility		$1,421.62	$1,794.31	$2,429.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00